64777D - Rodger

//102u1a
7/17/2015
7/17/2015
/!zwici Morgan ur cnca menler rllgnlanu anores riven rant aiening tsanK lul 51uu.uui renewal tee, MP 1
7/20/15 1 Stanley or Sharon Stubbs _ same ___ _ B of A _ 4859 $200.00 jGP for 1304 Caro
7/20/15 Richard or Sharon Love same Wells Faro Bank 1434 $200.00
7/20/15 Antinori Construction, Inc. _ Chris _ _ B of g 3780 - $200.00 GP 64712D
_ 'GP 64715D _
7/20/15 Holden Dock & Bulkheads An Oan dam & Rufus Yates CresCom Bank 2181 $200.00 GP 64697D
7/20/15 Atlantic Coast Industrial LLC David Brinkley BB &T 11791 $200.00 GP 1400 Point Hs
7/24/15 Money order from Brandon Grimes Patricia Welfare Wells Fargo Bank 17-213876532 _ $200.00 GP 64717D
7/24/15 Robert or Candace Rice same BB &T 10394 $200.00 GP 65041 D
MHCDO River Bluff Holdings LLC Isame 7 1121 $100.00 renewal fee, MP E
7/24/15', Richardson Construction Michael O'Hern BB &T 6063 $600.00 GP 64698D d$21
Lennon Smith GP 64700D g$21
— -
7/24/15 Geneveive Cassese _ GP 64699D @$21
Backwater Marine Construction Inc Matt Hendrix BB &T 2017 $200.00 GP 64701 D
7- 4/15 perrients, Marine construction Inc David & Ann Sneeden First Citizens Bank 3856 $200.00 GP 64756D
s Inc. Rick Edwards First Bank 4236 00.00 GP 64734D
7/24/15 Coastal Earth Work$2
Town of Oak Island same BB &T 59968 $100.00 mod fee, MP 152-
7/17/2015
7/17/2015
7/17/2015
7l20l2015
7/2012015
7/22/2015
7/22/2015
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7/22/2015
7/22/2015
7/23/2015
7/24/2015
7/27/2015
Waterfronte Villas Owners Assn./CAMS
same
North State Bank
1703
$100.00
transfer fee, MP 8
7/27/2015
Logan Marine LLC
David and Diane Rodger
Coming Federal Credit Union
1208
$200.00
GP 64777D
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
�� �f� %Zoe �,� Permit #:
Applicant: 2�k, / yrP
Date:
Describe below the HABITAT disturbances for the application
found in your Habitat code sheet.
All values should match the name, and units of measurement
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im ct amounnntt)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/o
temp impact
amount
© Vv
Dredge ❑ Fill ❑ Both ❑ Other ❑(/
"
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill 171 Both 0 Other ❑

N.G. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date (G I
Name of Property Owner Applying for Permit:
Mailing Address:
�� V�f�rT�2 S`iY��E•i"
l u tkTsVl IQ L., 2,s'glKo
I certify that I have authorized (agent) tAVA Q Loz, Aki to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) G{Z 4
_... ,
at (my property located at) 'Z i) �Iv -D '� L�Saj 6 RV'!Q,�A t t E� l-#V
This certification is valid thru (date)
7 //S //S�
Property Owner Signature y I Da

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to A �ZobL- aa',s
(Name of Property Owner)
property located at ZCH WA71L-2 S �
(Address, Lot, Block, Road, etc.)
on_NIL� Gl-�ct�IIVL in wig iI�HT��f jLL� C N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: �A\n(� Mailing Address _ (- c) wok 't 5 2
Agent's phone #: q10-3 t3',-A2 (Z1cA�AT w\u-- ac7k fibZS99C
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------- ----------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
5 A-T
n you nave objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http:llwww.nccoastalmanagement netlweblcmistaff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objectlon if you have been notified by Certified Mail
(Property Owner Information)
Signature
Print or Type Name
GY t ss2
Mailing Address
Zgnure
ian Pr p y Owner Information)
J
Print ori Type Name
l 0 rl Ch e R pad
Mailing Address
f2 a 10,d'nk Klr 91n1)1/)
%,.f�2 t 1" �4Tr,< 111 i C EGA r 14 n C2

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property • _.0 Ji oil ff
Address of Property:
or Street #, Street or Road, City & County)
Agent's Name #: 'DAVIA I bk-fJ Mailing Address: PC) j3bX j 5SZ
Agent's phone #: (0 `� - j 'rj Ll yaH-T-SV IL -Le 3GA�C- k . A C
ZS�L
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http.lAvww.nccoastalmanagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. -(If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
"TC- I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Tel e�, tz?-ve i
Print or Type Name
(Riparian Property QWner Information)
Print or Type Name
e-0A/-/It
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